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Employer Offered Coverage Information and Forms

Get the most from your Employer Offered health insurance coverage by using these helpful forms and documents to make plan changes, add features and learn about other important ways to help manage your account.

These forms are available as PDF files. Just click on the appropriate form to view, download and print. You will need the Adobe® Reader® to access these files, which you can download for free at Adobe's site.

Note: If these downloadable PDF forms are altered in any way, they will not be processed by Blue Cross and Blue Shield of Texas (BCBSTX).

HMO members can use this form to apply for guest membership at a Host HMO when residing outside their home plan service area for 90+ consecutive days. Please read and follow the instructions on the form.